THUNDER RIDGE RACE TEAM REGISTRATION FORM
2016-2017 SEASON

Your email address will be shared with the Thunder Ridge Race Team Parent Organization for distribution of additional information relative to your child’s races.



Your Primary Email:
Your Secondary Email:


Billing Information
Your Name:
Your Address:
Your City:
Your State:
Your Zip:
Phone:



Registration for Racer 1
Racer's Name
DOB
Age
Sex
Address
City
State
Zip
Phone
Email
School Attending
Grade
Clubs or activities
Level

Medical/Parent Information
Mother’s Name
Father’s Name
Parent/Guardian Name
Relation to Child
Occupation
Occupation
Bus. Phone
Bus. Phone
Email
Email
Cell Phone
Cell Phone
Address
Address
Emergency Contact Name
Doctor
Insurance Carrier
Doctor's Address
Policy No.
Doctor's Phone
Exp. Date
Allergic to any medication
Any Physical Disorders (Asthma, Diabetes, etc)
Other Medical details


2016-2017 Thunder Ridge: Medical Information, Photo Release and Behavioral Contract

The undersigned acknowledges, accepts, and understands that alpine skiing, snowboarding and the use of skis, snowboards, other equipment and lifts involves risk of injury to any and all parts of my body. The undersigned further understands that there are numerous risks and dangers inherent in the sports including but not limited to the risk of personal injury, including catastrophic injury, or death or property damage, which may be caused by variations in terrain or weather conditions; or surface or subsurface snow, ice, bare spots, or areas of thin cover, moguls, ruts, bumps, or other persons using the facilities, or rocks, forest growth, debris, branches, trees, roots, stumps, or other natural objects or manmade objects that are incidental to the provisions or maintenance of a ski facility in New York State. As a condition of being permitted to use the ski area premises the undersigned freely accepts and voluntarily assumes the risks of injury or property damage and releases 103 Gleneida Ave LLC (Thunder Ridge) , its employees, and agents from any and all liability for personal injury or property damage resulting from negligence, conditions of the premises, operations of the ski area, actions or omission of employees or agents of the ski area or from participation in skiing at the area, accepting full responsibility for any and all such damage or injury of any kind which may result.

In case of a medical emergency, I, as the parent/legal guardian of do hereby give consent to Thunder Ridge, Employees and Volunteers to seek medical treatment for my child. I also hereby give permission to Thunder Ridge to disclose the information contained on this form to medical personnel. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of such treatment. A photocopy or facsimile of this authorization is as effective and valid as the original.

Photo Release
I hereby authorize 103 Gleneida Ave LLC (Thunder Ridge) to publish the photographs taken of me, and my name, for use in printed publications and on websites. I acknowledge that since my participation in publications and websites produced by Thunder Ridge is voluntary, I will receive no financial compensation. I further agree that my participation in any publication and website produced by Thunder Ridge confers upon me no rights of ownership whatsoever. I release Thunder Ridge and its employees from liability for any claims by me or any third party in connection with my participation.

Behavioral Contract
The Thunder Ridge Race Team is an organization based on honesty, respect, and a love of skiing. In order to meet the goals we set for one another and ourselves, we must work together. It is the responsibility of the race team directors and coaches to keep the team members and parents well informed of what events are planned. The coaches will provide the racers with the most up-to-date skiing techniques and philosophies. It is the responsibility of the parents to keep the lines of communication open. If your child will not be able to attend practice or a race, please let us know. We ask that you encourage your child to do their best. Your support means a lot to your child.

The racer is the most important aspect of the program. As a racer, you are expected to come to practices and races prepared. You are expected to keep the team room clean and free of garbage. You are expected to act like young ladies and gentlemen - you represent yourself, your family, your team, and Thunder Ridge. There will be no running in the lodge, listen to the Thunder Ridge employees when they speak with you and remember RESPECT (if you want it, you need to give it). Respect is the key word in this contract. It is important to realize that we must uphold the rules. Racers will be given one verbal warning followed by a note home. If both of these have been done, a conference will be arranged to decide upon a course of action.

I have read the behavioral contract and understand what it says and by signing the bottom, I agree to uphold this contract.

PARENTS OR GUARDIAN: As the parent or legal guardian of the minor child named below, I represent that I am responsible for the minor and I am authorized to enter this agreement on the minor’s behalf. I further consent and agree that I, for myself and said minor, will be bound by this Agreement. I also agree that I have reviewed the Behavioral Contract above with my minor child.











  By Nov. 6th Coaching Fee After Nov. 6th Late Fee
Race Team Coaching Fee $745 $795
Developmental Team Coaching Fee $598 $598


Deduct $25 from each additional child’s coaching fee.

Total Order Amount   $


Credit Card Payment Information
Credit Card Type:  
Credit Card Number:  
Expiration Date:   Month: Year:
First Name:  
    (as it appears on card)
Last Name:
 
    (as it appears on card)